Cardiac transplantation in situs inversus: two cases reports.
The challenge of heart transplantation in patients with situs inversus is reconstruction of the systemic venous return. Herein we have presented 2 cases of complex congenital heart disease with atriovisceral situs inversus. Both of the patients shared many common cardiac anomalies, such as a single ventricle, a single AV valve with severe regurgitation, and severe pulmonary stenosis. We completed the venous connection in 2 different ways. In the first case, the donor inferior vena cava (IVC) was anastomosed to the recipient left-sided IVC directly, making the heart slightly counterclockwise rotated. In the second case, the IVC venous reconnection was accomplished by a composite conduit made of recipient right atrium.
Chang
Y L
YL
Heart Center, Cheng-Hsin General Hospital, Taipei, Taiwan, R.O.C.
Wei
J
J
Chang
C-Y
CY
Chuang
Y-C
YC
Sue
S-H
SH
D000293:Adolescent; D000714:Anastomosis, Surgical; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D007839:Functional Laterality; D016027:Heart Transplantation; D006801:Humans; D012857:Situs Inversus / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery